On the dearth of philosophical contributions to medicine

A recent editorial in this journal calls for more philosophical work in the areas of philosophy of medical science and research methodology [1]. The purpose of the present paper is to bring to light and discuss some obstacles and opportunities for development in these areas. In section I, barriers to increased philosophical work in medicine outside ethics are discussed. In sections II and III, additional areas in medicine ripe for philosophical work are identified and discussed: (a) improving the epistemic fitness of much current clinical reasoning, (b) defining the conditions under which greater epistemic fitness can be achieved, and (c) technology assessment.     

Philosophy of medicine in China (1930–1980)

This is a review of the literature in the philosophy of medicine published in China from 1930 to 1980. The topics dealt with include the relationship between medicine and philosophy, the basic concepts of medicine, etiology and causality, the bearing of psychology on physiology and pathology, epistemology in diagnostics, methodology of medical sciences, philosophical and methological problems in traditional Chinese medicine, philosophical problems in health policy, and medical ethics.     

解读现代版希波克拉底誓言

随着医学的飞速发展,医学伦理学、医学哲学被赋予了新的科学内涵。这一内涵在现代版"希波克拉底誓言"中得以具体体现。从行善原则、生命价值原则、尊重自主原则、公平公益原则、有利与不伤害原则、医疗最优化原则、医疗保密原则等方面对该誓言进行了全面阐述,其中蕴涵着丰富的社会哲学、价值哲学、道德哲学等哲学思想。     

ANTIFOUNDATIONALISM AND THE POSSIBILITY OF A MORAL PHILOSOPHY OF MEDICINE

The problem of developing a moral philosophy of medicine is explored in this essay. Among the challenges posed to this development are the general mistrust of moral philosophy and philosophy in general created by post-modernist philosophical and even anti-philosophical thinking. This reaction to philosophical systematization is usually called antifoundationalism. I distinguish different forms of antifoundationalism, showing that not all forms of their opposites, foundationalism, are alike, especially with regards to claims made about the certitude of moral thought. I conclude that we are correct to mistrust absolutist principles in a moral philosophy of medicine, but can find some center within the practice of medicine itself for a moral foundation.     

PHILOSOPHY OF MEDICAL PRACTICE: A DISCURSIVE APPROACH

In spite of the seminal work A Philosophical Basis of Medical Practice, the debate on the task and goals of philosophy of medicine still continues. From an European perspective it is argued that the main topics dealt with by Pellegrino and Thomasma are still particularly relevant to medical practice as a healing practice, while expressing the need for a philosophy of medicine. Medical practice is a discursive practice which is highly influenced by other discursive practices like science, law and economics. Philosophical analysis of those influences is needed to discern their effect on the goals of medicine and on the ways in which the self-image of man may be changed. The nature of medical practice and discourse itself makes it necessary to include different philosophical disciplines, like philosophy of science, of law, ethics, and epistemology. Possible scenario's of euthanasia and the human genome project in the USA and Europe are used to exemplify how philosopy of medicine can contribute to a realistic understanding of the problems which are related to the goals of medicine and health care.     

Aristotle in Prussian Gymnasiums: Why the Texts of the Ancient Philosopher Became Popular for Teaching Logic

During the nineteenth century, German philosophy developed from a type of general knowledge to an academic discipline at the university. Changes across disciplines to the philosophy of science and psychological surveys created new challenges for the place and purpose of philosophy in the educational system. The content of logic courses for secondary schools (Gymnasiums) was centred on the dissociation of nature and the scale of logic.In this paper, I will examine a number of projects for teaching philosophy at the secondary school level from new humanism to reduce philosophical to philological concerns about different projects offered by Niethammer, Hegel and Herbart. Then, I will focus on the most successful – Adolf Trendelenburg’s Elements of Aristotle’s Logic (1st edition of 1836). This work is a compilation of the logical texts of Aristotle, and for as long as sixty years, it was an official textbook in Prussian secondary schools. The aim of the paper is to show how the rethinking of Aristotle’s heritage affected the theoretical and ideological expectations of propaedeutic courses and transformed the image of logic as a philosophical discipline.     

EDMUND D. PELLEGRINO's PHILOSOPHY OF FAMILY PRACTICE

Family medicine has grown as a specialty from its early days of general practice. It was established as a Board Certified specialty in 1969. This growth and maturation can be traced in the philosophy of family medicine as articulated by Edmund D. Pellegrino, M.D. Long before it was popular to do so, Pellegrino supported the development of family medicine. In this essay I examine the development of Pellegrino's philosophical thought about family practice, and contrast it to other thinkers like Ian McWhinney, Kerr White, Walter Spitzer, Donald Ransom, and Hebert Vandervoort. The arguments focus on whether the goals of family medicine and family practice (possibly two distinct entities) can be articulated, especially considering the definitional problems of “family” and “community.” I conclude by echoing Pellegrino's hope that family medicine can contribute a fresh alternative to isolated, individualistic and technological thinking in medicine.     

Rejecting Beliefs,or Rejecting Believers? On the Importance and Exclusion of Women in Philosophy

Why has gender equality progressed so much more slowly in philosophy than in other academic disciplines? Here, I address both factual and theoretical matters relating to the causes, effects, and potential redress of the lack of women in philosophy. First, I debunk extant claims that women are more likely than men to disagree with their philosophy professors and male peers; that women are more sensitive to disagreements in the philosophy classroom than men are; and that the gender imbalance in philosophy is no worse than in many cognate disciplines. Second, I discuss ways in which the nature of philosophical inquiry and debate may provide uniquely strong opportunities for person‐perception to hinder progress toward egalitarian treatment of interlocutors. And third, I argue that a diversity of perspectives in philosophy is essential not only for reasons of social justice, but also for philosophical progress. Efforts to improve philosophy should therefore countenance the role of person‐perception in the practice of philosophical debate. For philosophy to become more diverse, the steps the profession takes to achieve that goal will have to go beyond—and not merely match—the steps taken to increase the numbers of women and otherwise underrepresented individuals in other fields.     

Languages for the Analytic Tradition

Abstract

In this paper I propose a series of arguments in order to show that it is preferable for analytic philosophy to be practiced in different languages. In the first section, I show that the analytic tradition includes people developing their philosophical work in different natural languages. In the second section, I will address the question of the role of language in thought, and more specifically in philosophical thought, concluding that it is preferable to allow for the use of different languages as a vehicle for philosophical ideas. Finally, I make some suggestions regarding changes that could be made in academic practices to better allow a plurality of languages and voices within the analytic tradition.     

Medical ethics' appropriation of moral philosophy: the case of the sympathetic and the unsympathetic physician

Philosophy textbooks typically treat bioethics as a form of "applied ethics"-i.e., an attempt to apply a moral theory, like utilitarianism, to controversial ethical issues in biology and medicine. Historians, however, can find virtually no cases in which applied philosophical moral theory influenced ethical practice in biology or medicine. In light of the absence of historical evidence, the authors of this paper advance an alternative model of the historical relationship between philosophical ethics and medical ethics, the appropriation model. They offer two historical case studies to illustrate the ways in which physicians have "appropriated" concepts and theory fragments from philosophers, and demonstrate how appropriated moral philosophy profoundly influenced the way medical morality was conceived and practiced.     

PHILOSOPHY AS TRAGEDY OR WHAT WORDS WON'T GIVE

This article examines Cavell's problematic understanding of scepticism and the knowledge of other minds with respect to his long preoccupation with tragedy. I point to the meta‐philosophical questions Cavell continually raises but fails to address such that a philosophy as tragedy is frequently announced. Taking the same meta‐philosophical questions raised by the inability of words to give us access to certain knowledge, I then rethink this problematic theologically. I show the way Cavell hints at a Christology and a doctrine of analogy neither of which he develops. In developing these two theologoumenon I make some observations on the relationship between theology, philosophy and the endemic potential of the tragic.     

医学生临床实习应掌握的几种哲学思维方式

为适应全球卫生事业的迅猛发展,面对医学教育落后于医学发展的现状,转化医学教育迫在眉睫。在第三代“以系统为基础”的教育改革中,培养医学生的哲学思维无疑是其重要环节之一。思维方式必须在医学生步入临床时就要开始正确培养,一旦开始阶段就养成不正确的思维方式、不但会导致医疗过程中的失误,而且再想改变将会有很大难度。本文通过对医学哲学重要性的探讨,剖析医学生哲学思维的不足,阐述了医学生,临床实习过程中应掌握的几种哲学思维方式。旨在提高医学生的哲学理念,促进以岗位胜任能力为导向的医学教育转型发展。     

CURRENT TRENDS IN THE PHILOSOPHY OF MEDICINE

Abstract. The philosophy of medicine, a developing discipline, is defined as critical reflection on the activity of medicine. The clinical encounter is both its central aspect and the focus for philosophical analysis. The most systematic example of this discipline employs a mixture of empiricism and phenomenology. Systems thought presents an organizing schema by which the philosophy of medicine can move toward a more comprehensive and fundamental analysis of its own agenda, which includes four main topics: understanding the patient-physician interaction, concepts of health and disease, foundations of medical ethics, and the dialogue between medicine and the larger culture.     

Some future directions for global justice

The fields of global ethics and global justice have expanded considerably over the last two decades and they now cover a wide variety of topics. Given this huge range there are many areas that are ripe for important developments. In this commentary I identify some useful directions for promising exploration in the field of global justice. I argue that expanded dialogue networks would considerably enhance work in philosophy and be beneficial to other disciplines as well. I indicate also how we could develop work on allocating responsibilities for reducing global injustices in useful ways, by considering a wider range of considerations that give rise to responsibilities and expanding the scope of, and audience for, these discussions. I catalog some under-theorized topics that should get more philosophical attention (including the notions of complicity, exploitation, and corruption). In addition, I draw attention to the ways in which a journal such as this one could facilitate a number of important dialogue networks.     

Peirce’s Philosophy of Mathematical Education: Fostering Reasoning Abilities for Mathematical Inquiry

I articulate Charles S. Peirce’s philosophy of mathematical education as related to his conception of mathematics, the nature of its method of inquiry, and especially, the reasoning abilities required for mathematical inquiry. The main thesis is that Peirce’s philosophy of mathematical education primarily aims at fostering the development of the students’ semeiotic abilities of imagination, concentration, and generalization required for conducting mathematical inquiry by way of experimentation upon diagrams. This involves an emphasis on the relation between theory and practice and between mathematics and other fields including the arts and sciences. For achieving its goals, the article is divided in three sections. First, I expound Peirce’s philosophical account of mathematical reasoning. Second, I illustrate this account by way of a geometrical example, placing special emphasis on its relation to mathematical education. Finally, I put forth some Peircean philosophical principles for mathematical education.     

MOTIVES FOR PHILOSOPHIZING DEBUNKING AND WITTGENSTEIN'S PHILOSOPHICAL INVESTIGATIONS

Abstract: In this article I contest a reading of Wittgenstein's Philosophical Investigations —a reading of it as debunking philosophy. I concede that such a reading is not groundless, but I show why it is nonetheless mistaken. To do so, I distinguish two different ways of viewing Philosophical Investigations and its concern with philosophical problems, an External View and an Internal View. On the External View, readers of the book are taken to know ahead of time what philosophical problems are. On the Internal View, readers are not taken to know this ahead of time: the task of the book is to disclose what philosophical problems are, to show them coming into being. One thing disclosed is our participatory role in philosophical problems coming to be. Learning about the nature of philosophical problems is thus learning about our own nature; metaphilosophical knowledge is in part self-knowledge. If the Internal View is correct (as I believe it is), then Philosophical Investigations does not debunk philosophy but provides a different conception of philosophy and the philosopher's task.     

The gastroenterologist and his endoscope: The embodiment of technology and the necessity for a medical ethics

The purpose of this essay is to argue for the necessity of an ethics of the practice of the specialist-technologist in medicine. In the first part I sketch three stages of medical ethics, each with a particular viewpoint regarding the technology of medicine. I focus on Brody's consideration of the “physician's power” as a example of contemporary medical ethics which explicitly excludes the specialist-technologist as a locus of development of medical ethics. Next, the philosophy of Heidegger is examined to suggest an approach to the problem, and, finally, some of Levinas' contributions regarding the “other” are introduced to suggest a preliminary approach to a medical ethics of the specialist-technologist.     

Making history philosophical: Kant,Maimon, and the evolution of the historiography of philosophy in the critical period

ABSTRACT

In this article I explore Maimon’s role in the evolution of Kant’s understanding of the function of the history of philosophy in philosophical enquiry. Kant is often viewed as holding an ambivalent relation to the history of philosophy. On the one hand, he dismisses past philosophers as victims of transcendental illusion and downplays the value of the historiography of philosophy. On the other hand, by framing his project as a synthesis of several philosophical traditions, Kant embeds the critical philosophy into a sweeping historical narrative in a manner that highlights the importance of the past for present philosophical aims. In this article, I argue that for most of his career Kant held a position reflective of the former view, but that the publication of Maimon’s response to a prize question announced by the Royal Academy led Kant to develop an understanding of the history of philosophy more in line with the latter view. The result is a distinctively post-Kantian model for a ‘philosophical history of philosophy’ that is both methodologically nuanced and potentially relevant to contemporary debates.     

ON THE BENEFITS OF PHILOSOPHY AS A WAY OF LIFE IN A GENERAL INTRODUCTORY COURSE

Philosophy as a way of life (PWOL) places investigations of value, meaning, and the good life at the center of philosophical investigation, especially of one’s own life. This essay argues that PWOL is compatible with general introductory philosophy courses, further arguing that PWOL-based general introductions have several philosophical and pedagogical benefits. These include the ease with which high-impact practices, situated skill development, and students’ ability to “think like a disciplinarian” may be incorporated into such courses, relative to more traditional introductory courses, as well as the demonstration of philosophy’s value to students by explicitly tying philosophical investigation to students’ own lives.